We all know that Xiaochaihu decoction can treat depression. In the syndrome of qi stagnation, we often treat it with Xiaochaihu decoction. We often use Xiaochaihu decoction to treat depression in hematological diseases, but we really don't pay enough attention to Xiaochaihu decoction in treating drinking. Once we pay attention to the treatment of drinking, then we will understand that Xiaochaihu decoction can treat qi and blood, drinking and triple energizer.
Qi-blood drink is the result of syndrome differentiation of qi, blood and body fluid, and triple energizer is the disease site. Besides the six meridians, Wei Qi Xue Ying, viscera and triple energizer, we also have qi, blood, body fluid. Xiaochaihu decoction can be used for the treatment of Qi-blood drink under the syndrome differentiation system of Qi-blood and body fluid. Treating drinking is actually treating body fluid.
Then under the framework of syndrome differentiation of qi, blood and body fluid, both qi, blood and body fluid and Xiaochaihu decoction can be treated. The foothold is that the disease is located in triple energizer. This can continue to expand the use of Xiaochaihu decoction. But we mentioned the prohibition of Xiaochaihu decoction and the prohibition of abuse. This prohibition of abuse refers to the blind abuse of Xiaochaihu decoction for no reason, but it does not mean that the rational use of Xiaochaihu decoction belongs to abuse.
It is only meaningful in theory, and the use of Xiaochaihu decoction will be more and more extensive. Let's look back at this medical record:
Tian, female, 75 years old. First visit on May 2nd. The patient has a history of hypertension for more than 30 years and has been taking antihypertensive drugs for a long time. Recently 1 month, blood pressure is unstable, dizziness is severe, qi deficiency is weak, and the treatment effect of western medicine is not obvious. Diagnosis: dizziness, need help walking; Weak, sleepy, unwilling to move less. Accompanied by back cold, abdominal fever, fever of lower limbs, cold feet, intolerance of cold and heat, upset, poor sleep, edema of lower limbs, frequent urination during the day and frequent urination at night. I eat less, my stool is still being adjusted, and I don't like drinking water. The tongue is pale and dark, with white fur and a large pulse.
All the symptoms are chaotic, the deficiency and the excess coexist, and cold and heat go hand in hand, so the treatment should first adjust the triple energizer.
Bupleurum 9g, Scutellaria baicalensis Georgi 12g, Polyporus umbellatus 15g, Poria cocos 15g, Alisma orientalis 15g, Atractylodes macrocephala 15g, Ramulus Cinnamomi 6g, Radix Paeoniae Rubra 12g, and Semen Persicae 12g. 7 doses of water decoction.
Why did you open it like this at that time? At that time, it was really dialectical, and we couldn't just start with the differentiation of the six meridians of the zang-fu organs. So, can it be distinguished from qi, blood, body fluid?
"Qi", the old man must have depression, and there have been problems in self-care in the past month. "Blood", including her recent general malaise and upset, is probably a bad temper. She has been ill for such a long time, and her blood pressure has been unstable for more than 30 years at such a high age. Is there a blood picture of this disease? "Body fluid", less urine, more at night, edema of lower limbs, is this a drinking disease? Is there a water stop?
Qi, blood, body fluid and triple energizer, with symptoms and signs in the upper, middle, lower, inner and outer parts. Then we can treat triple energizer with qi, blood and body fluid. Thinking of these four "cures", we naturally think of Xiaochaihu Decoction, Wuling Powder and Guizhi Fuling Pill.
If this patient is a young man instead of an old man, Guizhi Fuling Pill may not be needed, but for the old man, we will combine Guizhi Fuling Pill to treat the triple energizer of qi and blood. We can also see that this medication method has gone beyond the direct correspondence between evidence and prescription.
The reason why tonic is not needed at first is to clear the triple energizer and smooth the qi, blood and body fluid. If tonic is used too early, it will slow down the smoothness of qi, blood and body fluid and affect the curative effect. Later, nine grams of codonopsis pilosula was gradually added, and then he went back and gradually turned to treating healthy qi and viscera.